I managed to get mine down from 264 to 170 in one year by simply changing my diet and exercising more. I lost 10 lbs too (wish it was more though).
I hardly eat red meat and if I do, I limit it. I eat mostly chicken and pork and of course lots of veggies. Cheese is my "bad" food. I could eat it constantly.
My hubby is also Diabetic, so we all eat a low carb/ low fat diet now. I refused to make different meals for everyone, so when he got the diagnosis of Diabetes last year, we all changed our diets.
Now if I can just get the hubby off the Diabetic meds, life would be awsome. I hate to think of what those are doing to his liver.